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Resource centre on India's rural distress
 
 

The way to control tuberculosis -T Jacob John and Sushil Mathew John

-The Hindu

Three major deficiencies of the Revised National TB Control Programme need correction

Tuberculosis is the worst among endemic diseases, killing 1.5 million people every year (WHO). TB affects adults in their most productive years and therefore impoverishes the family and the nation. In India, the TB capital of the world, the disease kills some 1,400 persons every day. These are gross estimates, for our health management system has no method to count the exact numbers.

In the 1950s and ’60s, India was the global leader in research in epidemiology, transmission and domiciliary treatment of TB. The National TB Control Programme of 1962 was a district-based one with public-private participation. However, upscaling the model proved unsuccessful and the programme failed to control TB. With that we lost self-confidence and began doing what we were told to do by the WHO under the Revised National TB Control Programme (RNTCP). WHO experts, without factoring in the differences between the TB epidemiology of poor and rich countries, used a theoretical construct of TB control to design RNTCP. By 2018, India realised that light at the end of the tunnel was still elusive.

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